This article discusses the importance of core values in one's life and how it helps in creating a positive impact on thought and decision-making processes. It also emphasizes the importance of compassion and care towards patients, especially during palliative care.
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IMPORTANCE OF CORE VALUES TO SELF Author (name) and student ID Why core values are important to oneself ? According to me core values are those principles or values in my life which are of primary importance. It has a special significance in providing care and compassion towards others. According to the guideline led by the National Palliative Care standards regarding core values, I believe that acting with compassion especially towards the recipient of care and their respective family members or caregivers is the best possible way of establishing a strong relationship with the patient and his family. These core values instilled within childhood help me in my growth and developmental processes. Moreover, the significance of the core values lies in the fact that they help me to experience and create the future affecting my thought process and decision making process in a positive and impactful way. Introduction Compassion as defined by the health systems of developed countries is the empathic understanding, recognition as well as the emotional resonance which is related to distress pain , or suffering of others often compiled with motivation as well as relational actions for amelioration of these conditions(Pfaff and Markaki,2017). All patients require care and support for their escalation from their current health conditions. However, they deserve it more during the end stages when patients are vulnerable, isolated and often suffer physically as well as mentally. The insights of such patients are useful as it optimises their quality of lives and address their various spiritual, psychosocial as well as cultural needs (Fernando Rea and Malpas,2018). All patients have their own understanding of the situation which is enhanced by proper care and warmth shown through various ways. Four central themes have been found after interaction with palliative care patients which are respect, care, warmth and affection and connection. . Discussion Apart from the regular medications, compassion and care is essential for patients under palliative care. The patients family and members provide emotional social as well as spiritual support(Palliativecare.org.au, 2019). It enhances the confidence and health of the patient and his family members or caregivers though a holistic approach. Various principles of bioethics can be applied along with interactive sessions to engage and care for the patient through a stable relationship. According to Pfaff and Markari (2017), compassion care and its provision is combined to form the compassionate collaborative care. References Banjar, A.K., 2017. Till death do us part: The evolution of end-of-life and death attitudes.Canadian Journal of Critical Care Nursing,28(3). Borgstrom, E. and Walter, T., 2015. Choice and compassion at the end of life: a critical analysis of recent English policy discourse.Social Science & Medicine,136, pp.99-105. Bunce, A., 2018. Experiencing compassionate care in practice: a travel scholarship.British Journal of Nursing,27(13), pp.758-760. Crowther, J., Wilson, K.C., Horton, S. and Lloyd-Williams, M., 2013. Compassion in healthcare–lessons from a qualitative study of the end of life care of people with dementia.Journal of the Royal Society of Medicine,106(12), pp.492-497. Fernando, A., Rea, C. and Malpas, P., 2018. Compassion from a palliative care perspective.NZ Med J,131(1468), pp.25-32. Nyatanga, B., 2018. Embracing palliative care within compassionate communities: a personal viewpoint.British journal of community nursing,23(4), pp.200-200. Paul, S.S., Renu, G. and Thampi, P.T., 2019. Creating a positive attitude toward dying patients among nursing students: Is the current curriculum adequate?.Indian Journal of Palliative Care,25(1), p.142. Pfaff, K. and Markaki, A., 2017. Compassionate collaborative care: an integrative review of quality indicators in end-of-life care.BMC palliative care,16(1), p.65. Rambod, M., Sharif, F., Khademian, Z., Javanmardi Fard, S. and Raiesi, H. (2016). Nursing Students' Satisfaction with Supervision from Preceptors during Clinical Practice.Iran Journal of Nursing, 29(101), pp.23-32. Sherwen, E., 2014. Improving end of life care for adults.Nursing Standard (2014+),28(32), p.51. Tehranineshat, B., Rakhshan, M., Torabizadeh, C. and Fararouei, M., 2018. Nurses’, patients’, and family caregivers’ perceptions of compassionate nursing care.Nursing ethics, p.0969733018777884. Watts, T., 2014. Final-year nursing undergraduates’ understandings of palliative care: a qualitative study in Wales, UK.International journal of palliative nursing,20(6), pp.285-293. Palomarhealth.org. (2019).Benefits of Palliative Care | Palomar Health | San Diego County, CA. [online] Available at: https://www.palomarhealth.org/palliative-care/benefits-of-palliative-care [Accessed 22 Feb. 2019]. SRG Recruitment Agency in Durban. (2019).company culture - SRG Recruitment Agency in Durban. [online] Available at: http://www.srgfp.co.za/benefits-solid-company-culture/company-culture/ [Accessed 22 Feb. 2019]. EDF Renewables. (2019).EDF Renewables Innovative Renewable Energy | Alberta, Ontario & Quebec. [online] Available at: https://www.edf- re.ca/about-us/core-values-mission/ [Accessed 22 Feb. 2019]. Clipart-library.com. (2019).Free Nursing Cartoon Images, Download Free Clip Art, Free Clip Art on Clipart Library. [online] Available at: http://clipart-library.com/nursing-cartoon-images.html [Accessed 22 Feb. 2019]. Critical Analysis Burridge et al.(2017) claims that compassion is never considered as an inspirational factor or provision for care provision and has an influence in a broad spectrum. According to Banjar (2017), Presence of a high technology system in critical care might be paradoxical as nurses often find difficulty in treatment limitations as well as decisions pertaining to end of life. Thus, increased stresses in nurses resulting in frustration, heavy stress as well as tension from the stressful conditions which lead to the inability to show care and compassion towards the patients.Such clinicians often show susceptibility to burnout and fail in maintain a co operative environment with their patients(Perez et.al 2015). Moreover, Borgstorm and Walter(2018) believes that although discourses of compassionate care are shown in most of the hospice movements as well as that of palliative care successive scandals often occur which do not provide the much need care to patients. Nyatanga (2018) have observed that family structure and communities often have a role to play as due to a hectic lifestyle and nuclear families, children often refuse to care for their parents which is one of the reasons for the lack of compassion towards them. Caring and showing Compassion is an ethics is distinctly different between developed and developing countries. Maschi et al(2014) puts the importance of providing compassion and care in patients who have been in prison also. Among studies conducted among nurses in India most of them lack the knowledge of the various bioethical principles and have no concern for palliative care given towards dying patients.Hudson et al(2015) believes that provision of palliative care can be complicated among people especially those who are homeless and do not have the provision of caregivers.In contrast to the attitude of nurses in developing countries Tessa (2016), have found that undergraduate nurses in UK have valued and understood palliative care. Moreover they have paid importance on emotional support and care given to dying patients. Studies carried out by (Rambodet al. 2016) , has found out that various themes have emerged from the interactions with patients like communication skills, professionalism, adherence to moral and pursuing a holistic approach. Studies conducted by Sinclaireet al(2017) and his team have seen neuroplasticity among the patients opinions who often confuse the difference between compassion, sympathy and empathy. Conclusion Overall, it can be found that out of various nursing attribute compassion and a caring outlook towards patients especially during palliative care enhances the morale of old people and has a positive impact on the patient concerned and his family members as well . Findings Name of AuthorDateName of the ArticleCommon theme and results Angela K. Banjar2017Till death do us part: The evolution o f end-of-life and death attitudes Due to work life imbalance and stress, nurses often fail in providing care and compassion to patients. Erica Borgstrom a, *, Tony Walter b 2015Choice and compassion at the end of life: A critical analysis of recent English policy discourse Due to various scandals in healthcare patients do not receive the care and compassion they deserve during treatment due to marketization of care. Brian Nyatanga2018Embracing palliative care within compassionate communities: a personal viewpoint Not only nurse but family members also matter who often do not provide enough compassion and care due to their busy lifestyles. Sherin Susan Paul1,2, G Renu3, PT Thampi2,4 2014Creating a Positive Attitude toward Dying Patients among Nursing Students: Is the Current Curriculum Adequate? Indian nurses lack the knowledge of basic bioethics which leads to lack in provision of compassionate palliative care to the patients thus stressing on the awareness of the principles in nursing. Tessa Watts2014Final-year nursing undergraduates’ understandings of palliative care: a qualitative study in Wales, UK Tessa have found that in the comparison of knowledge about palliative care around the world, UK nurses have a sound knowledge and have a vast concept thus providing care to the students. Shane Sinclair1,2, Kate Beamer1, Thomas F Hack3,4, Susan McClement3,4, 2017Sympathy, empathy, and compassion: A grounded theory study of palliative care patients’ understandings, experiences, and preferences Compassionate care have been often confused with terms like empathy and sympathy which lead to mixed reaction from patients regarding satisfaction of palliative care. Thus, patients do not receive the required care often and unaware of the subtle difference in the various terms. Jacqueline Crowther1 , Kenneth CM Wilson1 , Siobhan Horton2 and Mari Lloyd-Williams1 2013Compassion in healthcare – lessons from a qualitative study of the end of life care of people with dementia Dementia patients could not differentiate between professionals and thus were satisfied with the compassion and acts of kindness received by non professionals.